orderforms.wufoo.com Open in urlscan Pro
52.222.236.53  Public Scan

Submitted URL: https://phonesupport.2g4.com/
Effective URL: https://orderforms.wufoo.com/forms/x1c5q7t613wupzs/
Submission: On August 11 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form826POST https://orderforms.wufoo.com/forms/x1c5q7t613wupzs/

<form id="form826" name="form826" class="wufoo topLabel page1" accept-charset="UTF-8" autocomplete="off" enctype="multipart/form-data" method="post" novalidate="" action="https://orderforms.wufoo.com/forms/x1c5q7t613wupzs/">
  <header id="header" class="info">
    <h2 class="0">SERVICE TICKET COMPLETION REPORT</h2>
    <div class="0">Please complete this ticket upon completion of each over-the-phone tech support call.</div>
  </header>
  <ul>
    <li id="fo826li119" class="     ">
      <fieldset>
        <!--[if !IE | (gte IE 8)]-->
        <legend id="title119" class="desc notranslate"> TECHNICIAN PROVIDING SUPPORT <span id="req_119" class="req">*</span>
        </legend>
        <!--[endif]-->
        <!--[if lt IE 8]>
	<label id="title119" class="desc">
		TECHNICIAN PROVIDING SUPPORT
				<span id="req_119" class="req">*</span>
			</label>
	<![endif]-->
        <div>
          <input id="radioDefault_119" name="Field119" type="hidden" value="">
          <span>
            <input id="Field119_0" name="Field119" type="radio" class="field radio" value="JAMES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field119_0">
              <span class="choice__text notranslate">JAMES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field119_1" name="Field119" type="radio" class="field radio" value="PHIL" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field119_1">
              <span class="choice__text notranslate">PHIL</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field119_2" name="Field119" type="radio" class="field radio" value="BEN" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field119_2">
              <span class="choice__text notranslate">BEN</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field119_3" name="Field119" type="radio" class="field radio" value="ALEX" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field119_3">
              <span class="choice__text notranslate">ALEX</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
        </div>
      </fieldset>
    </li>
    <li id="fo826li114" data-wufoo-field="" data-field-type="text" class="notranslate      ">
      <label class="desc" id="title114" for="Field114"> ASK: WHAT IS YOUR NAME? <span id="req_114" class="req">*</span>
      </label>
      <div>
        <input id="Field114" name="Field114" type="text" class="field text small" value="" maxlength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required="" placeholder="">
      </div>
    </li>
    <li id="fo826li111" class="phone notranslate      ">
      <label class="desc" id="title111"> ASK: IN CASE WE GET DISCONNECTED, <br> WHAT IS YOUR BEST CALL BACK NUMBER? </label>
      <span>
        <input id="Field111" name="Field111" type="tel" class="field text" value="" size="3" maxlength="3" tabindex="0" onkeyup="handleInput(this); autotab(this, document.getElementById('Field111-1'), this); filterNonnumeric(this);"
          onchange="handleInput(this);" onfocus="this.selectionStart = this.selectionEnd = this.value.length;" placeholder="">
        <label for="Field111">###</label>
      </span>
      <span class="symbol">-</span>
      <span>
        <input id="Field111-1" name="Field111-1" type="tel" class="field text" value="" size="3" maxlength="3" tabindex="0"
          onkeyup="handleInput(this); autotab(this, document.getElementById('Field111-2'), document.getElementById('Field111')); filterNonnumeric(this);" onchange="handleInput(this);"
          onfocus="this.selectionStart = this.selectionEnd = this.value.length;" placeholder="">
        <label for="Field111-1">###</label>
      </span>
      <span class="symbol">-</span>
      <span>
        <input id="Field111-2" name="Field111-2" type="tel" class="field text" value="" size="4" maxlength="4" tabindex="0" onkeyup="handleInput(this); autotab(this, this, document.getElementById('Field111-1')); filterNonnumeric(this);"
          onchange="handleInput(this);" onfocus="this.selectionStart = this.selectionEnd = this.value.length;" placeholder="">
        <label for="Field111-2">####</label>
      </span>
    </li>
    <li id="fo826li1" class="     ">
      <fieldset>
        <!--[if !IE | (gte IE 8)]-->
        <legend id="title1" class="desc notranslate"> ASK: CAN YOU PLEASE PROVIDE ME WITH YOUR SERVICE TICKET NUMBER? <span id="req_1" class="req">*</span>
        </legend>
        <!--[endif]-->
        <!--[if lt IE 8]>
	<label id="title1" class="desc">
		ASK: CAN YOU PLEASE PROVIDE ME WITH YOUR SERVICE TICKET NUMBER?
				<span id="req_1" class="req">*</span>
			</label>
	<![endif]-->
        <div>
          <input id="radioDefault_1" name="Field1" type="hidden" value="">
          <span>
            <input id="Field1_0" name="Field1" type="radio" class="field radio" value="YES/OK" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field1_0">
              <span class="choice__text notranslate">YES/OK</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field1_1" name="Field1" type="radio" class="field radio" value="NO/DON'T HAVE IT" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field1_1">
              <span class="choice__text notranslate">NO/DON'T HAVE IT</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
        </div>
      </fieldset>
    </li>
    <li id="fo826li109" data-wufoo-field="" data-field-type="text" class="notranslate      hide">
      <label class="desc" id="title109" for="Field109"> ACCOUNT NUMBER<br>
        <small>Located in front of their name on any billing</small>
        <span id="req_109" class="req">*</span>
      </label>
      <div>
        <input id="Field109" name="Field109" type="text" class="field text small" value="" maxlength="9" tabindex="0" onkeyup="handleInput(this); validateRange(109, 'character');" onchange="handleInput(this);" required="" placeholder="">
        <label>Maximum of <var id="rangeMaxMsg109">9</var> characters.&nbsp;&nbsp;&nbsp; <em class="currently" style="display: inline;">Currently Used: <var id="rangeUsedMsg109">0</var> characters.</em></label>
      </div>
    </li>
    <li id="fo826li105" class="     hide">
      <fieldset>
        <!--[if !IE | (gte IE 8)]-->
        <legend id="title105" class="desc notranslate"> ASK FOR THEIR ACCOUNT NUMBER TO INSERT ABOVE. A VALID ACCOUNT NUMBER IS REQUIRED! <br>
          <br> ONCE ENTERED, THEN TELL THEM...<br>
          <br>
          <small>-In order to provide our FREE SUPPORT, we require you to provide a service ticket number.<br>
            <br> -To get a service ticket, please visit www.FixMyAlarm.com and CLICK on "ENTER A TICKET" <br>
            <br> -It takes about 2 minutes to request the service ticket and when you have it, just call us back and we can provide you with FREE PHONE SUPPORT.<br>
            <br> -Without the SERVICE TICKET, our standard $35.00 service fee would have to be charged to your account.<br>
            <br> -Once you do get the service ticket, it can be re-used multiple times until your service issue has been fully resolved."</small><br>
          <br> WHAT WILL THEY DO? <span id="req_105" class="req">*</span>
        </legend>
        <!--[endif]-->
        <!--[if lt IE 8]>
	<label id="title105" class="desc">
		ASK FOR THEIR ACCOUNT NUMBER TO INSERT ABOVE.  A VALID ACCOUNT NUMBER IS REQUIRED! <br />
<br />
ONCE ENTERED, THEN TELL THEM...<br />
<br />
<small>-In order to provide our FREE SUPPORT, we require you to provide a service ticket number.<br />
<br />
-To get a service ticket, please visit www.FixMyAlarm.com and CLICK on "ENTER A TICKET" <br />
<br />
-It takes about 2 minutes to request the service ticket and when you have it, just call us back and we can provide you with FREE PHONE SUPPORT.<br />
<br />
-Without the SERVICE TICKET, our standard $35.00 service fee would have to be charged to your account.<br />
<br />
-Once you do get the service ticket, it can be re-used multiple times until your service issue has been fully resolved."</small><br />
<br />
WHAT WILL THEY DO?
				<span id="req_105" class="req">*</span>
			</label>
	<![endif]-->
        <div>
          <input id="radioDefault_105" name="Field105" type="hidden" value="">
          <span>
            <input id="Field105_0" name="Field105" type="radio" class="field radio" value="USER WILL GO GET A SUPPORT TICKET" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field105_0">
              <span class="choice__text notranslate">USER WILL GO GET A SUPPORT TICKET</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field105_1" name="Field105" type="radio" class="field radio" value="USER SAID TO CHARGE THEM THE $35.00" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field105_1">
              <span class="choice__text notranslate">USER SAID TO CHARGE THEM THE $35.00</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field105_2" name="Field105" type="radio" class="field radio" value="USER CHOOSE TO DO NOTHING HUNG-UP" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field105_2">
              <span class="choice__text notranslate">USER CHOOSE TO DO NOTHING HUNG-UP</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
        </div>
      </fieldset>
    </li>
    <li id="fo826li125" class="notranslate      hide">
      <label class="desc" id="title125" for="Field125"> OPTIONAL COMMENTS TO ADD REGARDING SUPPORT CALL? </label>
      <div>
        <textarea id="Field125" name="Field125" class="field textarea small" spellcheck="true" rows="10" cols="50" tabindex="0" onkeyup="handleInput(this); validateRange(125, 'character');" onchange="handleInput(this);" placeholder=""></textarea>
      </div>
    </li>
    <li id="fo826li3" data-wufoo-field="" data-field-type="text" class="notranslate      hide">
      <label class="desc" id="title3" for="Field3"> TICKET NUMBER<br>
        <small>Has account number embedded in it.</small>
        <span id="req_3" class="req">*</span>
      </label>
      <div>
        <input id="Field3" name="Field3" type="text" class="field text small" value="" maxlength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required="" placeholder="">
      </div>
    </li>
    <li id="fo826li122" class="notranslate section      hide">
      <section>
        <h3 id="title122"> TELL THEM UPON COMPLETION OF THE PHONE SERVICE THEY WILL RECEIVE A CHARGE TO THEIR ACCOUNT FOR $35.00 PER 1/2 HOUR. </h3>
        <div id="instruct122">(RE-CONFIRM THAT THEY DON'T WANT TO GET THE SUPPORT TICKET.)</div>
      </section>
    </li>
    <li id="fo826li116" class="     hide">
      <fieldset>
        <!--[if !IE | (gte IE 8)]-->
        <legend id="title116" class="desc notranslate"> WHAT TYPE OF PHONE SERVICE IS NEEDED? <span id="req_116" class="req">*</span>
        </legend>
        <!--[endif]-->
        <!--[if lt IE 8]>
	<label id="title116" class="desc">
		WHAT TYPE OF PHONE SERVICE IS NEEDED?
				<span id="req_116" class="req">*</span>
			</label>
	<![endif]-->
        <div>
          <input id="radioDefault_116" name="Field116" type="hidden" value="">
          <span>
            <input id="Field116_0" name="Field116" type="radio" class="field radio" value="NEW ACCOUNT SETUP" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_0">
              <span class="choice__text notranslate">NEW ACCOUNT SETUP</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_1" name="Field116" type="radio" class="field radio" value="L-T-T ISSUESD" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_1">
              <span class="choice__text notranslate">L-T-T ISSUESD</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_2" name="Field116" type="radio" class="field radio" value="FALSE ALARM" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_2">
              <span class="choice__text notranslate">FALSE ALARM</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_3" name="Field116" type="radio" class="field radio" value="IP TRANSMITTER ISSUES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_3">
              <span class="choice__text notranslate">IP TRANSMITTER ISSUES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_4" name="Field116" type="radio" class="field radio" value="CELLULAR TRANSMITTER ISSUES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_4">
              <span class="choice__text notranslate">CELLULAR TRANSMITTER ISSUES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_5" name="Field116" type="radio" class="field radio" value="DD2 REDIRECTOR ISSUES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_5">
              <span class="choice__text notranslate">DD2 REDIRECTOR ISSUES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_6" name="Field116" type="radio" class="field radio" value="TELEPHONE LINE ISSUES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_6">
              <span class="choice__text notranslate">TELEPHONE LINE ISSUES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_7" name="Field116" type="radio" class="field radio" value="APP OR SMS ISSUES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_7">
              <span class="choice__text notranslate">APP OR SMS ISSUES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_8" name="Field116" type="radio" class="field radio" value="ALARM CODE/ZONE ISSUES" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_8">
              <span class="choice__text notranslate">ALARM CODE/ZONE ISSUES</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_9" name="Field116" type="radio" class="field radio" value="ALARM PANEL ISSUES ($35.00)" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_9">
              <span class="choice__text notranslate">ALARM PANEL ISSUES ($35.00)</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field116_10" name="Field116" type="radio" class="field radio" value="OTHER" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field116_10">
              <span class="choice__text notranslate">OTHER</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
        </div>
      </fieldset>
    </li>
    <li id="fo826li117" class="notranslate      hide">
      <label class="desc" id="title117" for="Field117"> OTHER ISSUE: <span id="req_117" class="req">*</span>
      </label>
      <div>
        <textarea id="Field117" name="Field117" class="field textarea small" spellcheck="true" rows="10" cols="50" tabindex="0" onkeyup="handleInput(this); validateRange(117, 'character');" onchange="handleInput(this);" placeholder=""
          required=""></textarea>
      </div>
    </li>
    <li id="fo826li107" class="notranslate      hide">
      <label class="desc" id="title107" for="Field107"> PLEASE PROVIDE STEP-BY-STEP DETAILS OF YOUR PHONE SUPPORT YOU PROVIDED FOR THE CUSTOMERS SERVICE RECORDS. <span id="req_107" class="req">*</span>
      </label>
      <div>
        <textarea id="Field107" name="Field107" class="field textarea medium" spellcheck="true" rows="10" cols="50" tabindex="0" onkeyup="handleInput(this); validateRange(107, 'character');" onchange="handleInput(this);" placeholder=""
          required=""></textarea>
      </div>
    </li>
    <li id="fo826li121" class="notranslate section      hide">
      <section>
        <h3 id="title121"> TELL THEM TO GET A SUPPORT TICKET AND CALL BACK ONCE THEY HAVE IT. </h3>
        <div id="instruct121">(YOU CANNOT HOLD FOR THEM)</div>
      </section>
    </li>
    <li id="fo826li123" class="notranslate section      hide">
      <section>
        <h3 id="title123"> JUST SUBMIT TO CLOSE OUT THE TICKET. </h3>
        <div id="instruct123">(NO FURTHER ACTION REQUIRED)</div>
      </section>
    </li>
    <li class="buttons ">
      <div>
        <input type="hidden" name="currentPage" id="currentPage" value="9NbnGnKeTx0I7mUdF3NvcuuI4muhaGnrmcN7OxBNfjw=">
        <input id="saveForm" name="saveForm" class="btTxt submit" type="submit" value="Submit" onmousedown="doSubmitEvents();">
      </div>
    </li>
    <li class="hide">
      <label for="comment">Do Not Fill This Out</label>
      <textarea name="comment" id="comment" rows="1" cols="1"></textarea>
      <input type="hidden" id="idstamp" name="idstamp" value="afFbQqVoRiuQZwZiehJPOw==">
      <input type="hidden" id="encryptedPassword" name="encryptedPassword" value="">
      <input type="hidden" id="grcToken" name="grcToken" value="" data-site-key="6LeASGocAAAAADj3Vpi-QsmxJutvYUg4DQcU-MNB">
      <input type="hidden" id="stats" name="stats" value="{&quot;errors&quot;:0,&quot;startTime&quot;:0,&quot;endTime&quot;:0,&quot;referer&quot;:null}">
      <input type="hidden" id="clickOrEnter" name="clickOrEnter">
    </li>
  </ul>
</form>

Text Content

ALARM MONITORING SERVICES


SERVICE TICKET COMPLETION REPORT

Please complete this ticket upon completion of each over-the-phone tech support
call.
 * TECHNICIAN PROVIDING SUPPORT *
   JAMES PHIL BEN ALEX
 * ASK: WHAT IS YOUR NAME? *
   
 * ASK: IN CASE WE GET DISCONNECTED,
   WHAT IS YOUR BEST CALL BACK NUMBER? ### - ### - ####
 * ASK: CAN YOU PLEASE PROVIDE ME WITH YOUR SERVICE TICKET NUMBER? *
   YES/OK NO/DON'T HAVE IT
 * ACCOUNT NUMBER
   Located in front of their name on any billing *
   Maximum of 9 characters.    Currently Used: 0 characters.
 * ASK FOR THEIR ACCOUNT NUMBER TO INSERT ABOVE. A VALID ACCOUNT NUMBER IS
   REQUIRED!
   
   ONCE ENTERED, THEN TELL THEM...
   
   -In order to provide our FREE SUPPORT, we require you to provide a service
   ticket number.
   
   -To get a service ticket, please visit www.FixMyAlarm.com and CLICK on "ENTER
   A TICKET"
   
   -It takes about 2 minutes to request the service ticket and when you have it,
   just call us back and we can provide you with FREE PHONE SUPPORT.
   
   -Without the SERVICE TICKET, our standard $35.00 service fee would have to be
   charged to your account.
   
   -Once you do get the service ticket, it can be re-used multiple times until
   your service issue has been fully resolved."
   
   WHAT WILL THEY DO? *
   USER WILL GO GET A SUPPORT TICKET USER SAID TO CHARGE THEM THE $35.00 USER
   CHOOSE TO DO NOTHING HUNG-UP
 * OPTIONAL COMMENTS TO ADD REGARDING SUPPORT CALL?
   
 * TICKET NUMBER
   Has account number embedded in it. *
   


 * TELL THEM UPON COMPLETION OF THE PHONE SERVICE THEY WILL RECEIVE A CHARGE TO
   THEIR ACCOUNT FOR $35.00 PER 1/2 HOUR.
   
   (RE-CONFIRM THAT THEY DON'T WANT TO GET THE SUPPORT TICKET.)
 * WHAT TYPE OF PHONE SERVICE IS NEEDED? *
   NEW ACCOUNT SETUP L-T-T ISSUESD FALSE ALARM IP TRANSMITTER ISSUES CELLULAR
   TRANSMITTER ISSUES DD2 REDIRECTOR ISSUES TELEPHONE LINE ISSUES APP OR SMS
   ISSUES ALARM CODE/ZONE ISSUES ALARM PANEL ISSUES ($35.00) OTHER
 * OTHER ISSUE: *
   
 * PLEASE PROVIDE STEP-BY-STEP DETAILS OF YOUR PHONE SUPPORT YOU PROVIDED FOR
   THE CUSTOMERS SERVICE RECORDS. *
   


 * TELL THEM TO GET A SUPPORT TICKET AND CALL BACK ONCE THEY HAVE IT.
   
   (YOU CANNOT HOLD FOR THEM)


 * JUST SUBMIT TO CLOSE OUT THE TICKET.
   
   (NO FURTHER ACTION REQUIRED)
 * 
 * Do Not Fill This Out

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